MEDICARE: DR. BRUCE GARDNER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD00020877	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5350424	OTHER		AETNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	GA5004	OTHER	WA	REGENCE BLUE SHIELD

General Provider Information

NPI Number	:	1194815480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRUCE GARDNER MD

Provider Business Mailing Address
First Line	:	1915 QUEEN ANNE AVE N
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98109-2549
Country	:	US
Telephone Number	:	206-284-6132
Fax Number	:	206-284-2566

Provider Business Practice Location Address
First Line	:	1915 QUEEN ANNE AVE N
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98109-2549
Country	:	US
Telephone Number	:	206-284-6132
Fax Number	:	206-284-2566

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2006
Last Update Date	:	07/09/2007

Similar Medicare Providers

1679663967 — QUEEN ANNE FAMILY MEDICINE INC PS
Practice Location Address:

1915 QUEEN ANNE AVE N
SEATTLE, WA
98109-2549

Practice Phone: 206-284-6132
Practice Fax: 206-284-2566

1184801169 — WASHINGTON CVS PHARMACY LLC
Practice Location Address:

1929 QUEEN ANNE AVE N
SEATTLE, WA
98109-2549

Practice Phone: 206-285-1737
Practice Fax: 206-285-1791

1578730461 — KAREN LEE URBANOWICZ PHARMD
Practice Location Address:

1929 QUEEN ANNE AVE N
SEATTLE, WA
98109-2549

Practice Phone: 206-285-1737
Practice Fax:

1316206782 — REGINA R CORDOVA PHARMACY TECHNICIAN
Practice Location Address:

1929 QUEEN ANNE AVE N
SEATTLE, WA
98109-2549

Practice Phone: 206-285-1737
Practice Fax: 206-285-1791

1588918809 — DAVID M ARNDT DDS PS
Practice Location Address:

1911 QUEEN ANNE AVE N
SEATTLE, WA
98109-2549

Practice Phone: 206-284-3780
Practice Fax: 206-284-1342

1194269530 — DEBORAH YACHUN XI
Practice Location Address:

1929 QUEEN ANNE AVE N
SEATTLE, WA
98109-2549

Practice Phone: 206-285-1737
Practice Fax:

Directions to “ DR. BRUCE GARDNER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.